Free Order (PLRA) for Pay Authorization - District Court of Delaware - Delaware

Case1:05-cv—00305-JJF Document 6-2 Filed 07/07/2005 Page10f1
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF DELAWARE
IVAN L. MENDEZ, )
Plaintiff, 3
v. g Civ. No. 05-305-JJF
DELAWARE STATE, g
Defendant. g
AUTHORI ZAT ION
I, Ivan L. Mendez, SBI #453351, request and authorize the
agency holding me in custody to disburse to the Clerk of the
Court all payments pursuant to 28 U.S.C. § l9l5{b) and required
by the Court’s order dated , 2005.
This authorization is furnished in connection with the
filing of a civil action, and I understand that the filing fee
for the complaint is $250.00. I also understand that the entire
filing fee may be deducted from my trust account regardless of
the outcome of my civil action. This authorization shall apply
to any other agency into whose custody I may be transferred.
Date: , 2005.